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The Veterans Health Administration uses a complete performance improvement software referred to as Strategic Analytics for Enchancment and Learning (SAIL) that includes key metrics utilized by the private sector in addition to extra metrics which might be essential for addressing access to care, quality of psychological health care, worker perception concerning the group, nursing turnover and effectivity. The metrics are organized into 9 High quality domains and one Effectivity and Capability domain. The Quality domains are combined to represent general High quality. Every VA medical middle is assessed for total Quality from two perspectives: Relative Efficiency in comparison with other VA medical facilities using a Star score system from 1 to 5 and Improvement compared to its personal efficiency from the past yr. Both relative efficiency and dimension of improvement are used to focus improve efforts.
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